tbuckley/cabot-search huggingface dataset:
Management of the Severely Anemic Jehovah's Witness
Authors: Brian A. Youn
Journal: Annals of Internal Medicine (1993)

Letters15 July 1993Management of the Severely Anemic Jehovah's WitnessBrian A. Youn, MD and J. Robert Burns, MDBrian A. Youn, MDSearch for more papers by this author and J. Robert Burns, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-119-2-199307150-00020 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:In their excellent review of the management of the severely anemic Jehovah's Witness patient, Mann and colleagues [1] inaccurately report that the use of adjunctive hyperbaric oxygen therapy is not indicated in the management of anemic Jehovah's Witnesses because toxicity precludes its prolonged use. This conflicts with reports supporting the use of such therapy in anemic patients with severe blood loss who are unable, either on medical or religious grounds, to receive blood products. Amonic and colleagues [2] first reported the successful use of hyperbaric oxygen therapy in hemorrhagic shock in 1969. Hart and colleagues [3] recently ...References1. Mann M, Votto I, Kambe J, McNamee M. Management of the severely anemic patient who refuses transfusion: lessons learned during the care of the Jehovah's Witness. Ann Intern Med. 1992; 117:1042-8. Google Scholar2. Amonic R, Cockett A, Lorhan P, Thompson J. Hyperbaric oxygen in chronic hemorrhagic shock. JAMA. 1969; 208:2051-4. Google Scholar3. Hart G, Lennon P, Struiss M. Hyperbaric oxygen in exceptional acute blood loss anemia. J Hyperbaric Med. 1987; 2:205-10. Google Scholar4. Thom S; ed. Hyperbaric Oxygen: A Committee Report. Bethesda, Maryland: Bethesda Undersea and Hyperbaric Medical Society; 1992. Google Scholar Author, Article, and Disclosure InformationAffiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 15 July 1993Volume 119, Issue 2Page: 169-170KeywordsBloodBlood plasmaHyperbaric oxygenOxygenPartial pressure of oxygenSevere blood lossShockToxicity ePublished: 15 August 2000 Issue Published: 15 July 1993 Copyright & PermissionsCopyright © 1993 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...
In Reply
Authors: Joseph A. DiMasi, Henry G. Grabowski
Journal: Journal of Clinical Oncology (2007)

The authors failed to list Doxil (generically known as doxorubicin; Ortho Biotech Products, Bridgewater, NJ) in Table 1, which presented the new oncology drugs approved in the United States from 1990 to 2005.While this omission may seem trivial, it is not if one considers that Doxil was the first accelerated oncology drug approval and helped usher in an era of rapid drug approvals based on the surrogate marker, tumor response.Having defended Doxil before the Oncology Drug Advisory Committee leading to its approval, I have become keenly aware of the advantages and disadvantages of the accelerated approval process.As we now know, tumor shrinkage is not always a surrogate for improved survival or quality of life.Another major point overlooked in this review was that many industry sponsors of oncology drugs approved by this process have failed to submit confirmatory, postapproval trials as required under the accelerated approval process.Coupled with the high cost these drugs put on the health care system, many are left to think that commercial companies have abused the opportunity provided by the accelerated approval process.However, as oncologists, we all want promising therapies available for our patients as early as possible.Perhaps we should consider keeping the accelerated approval process available while restricting the reimbursement to the company until randomized, controlled trials showing an effect of survival or quality of life have been conducted.Alternatively, US oncologists must fully support phase III, randomized clinical trials comparing experimental therapies to best supportive care when there are no approved therapies for the indicated patient population.
HIV Prevalence, Projected AIDS Case Estimates: Workshop, October 31 —November 1,1989
Journal: JAMA (1990)

Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2023 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA journal
Roentgenographic identification of human remains
Authors: L. Atkins
Journal: JAMA (1978)

BONE roentgenograms as a means of identifying human remains can be of great value to medical examiners. This is especially true when there is need to identify an unknown decomposed body of an adult without fingerprints. Teeth, as landmarks, may be of help, but they may be absent (as in the case presented) or antemortem dental records may not be available for comparison. Since bone roentgenograms are common diagnostic examinations, an antemortem study may be available for comparison. The following case illustrates this point, and in the Comment legal points are made about using this kind of evidence. <h3>Report of a Case</h3> On July 6, 1977, a human skull with a missing mandible was found on the shore of Deer Island in Boston Harbor. Only one upper molar tooth was present, and the remaining tooth sockets were empty. One month later skeletal remains consisting of a torso and limbs with
BOOK REVIEWS
Authors: C. STEAKLEY
Journal: JNCI Journal of the National Cancer Institute (1991)

Journal Article BOOK REVIEWS Get access Cancer Nursing: Principles and Practice, 2nd ed. Susan L. Groenwald , Margaret Hansen Frogge , Michelle Goodman , Connie Henke Yarbro eds. Boston : Jones and Bartlett , 1990 , 1348 pp. $125. CARYN STEAKLEY, RN CARYN STEAKLEY, RN Clinical Research Office Vincent T. Lombardi Cancer Research Center Georgetown University Medical Center Washingon, DC 20007 Search for other works by this author on: Oxford Academic PubMed Google Scholar JNCI: Journal of the National Cancer Institute, Volume 83, Issue 9, 1 May 1991, Page 645, https://doi.org/10.1093/jnci/83.9.645-a Published: 01 May 1991
Effect of UDCA on liver iron store in rats with normal or iron supplemented diet INSERM U49, University Hospital Pontchaillou, Rennes and *Laboratoire HOUDE, Paris, France
Journal: Hepatology (1995)

Topical lidocaine has been recently marketed as a new treatment for post-herpetic neuralgia. The aim of our study was to characterize the absorption profile of and systemic exposure to lidocaine from patch and gel formulations in normal volunteers, patients with post-herpetic neuralgia, and patients with acute herpes zoster. The bioavailability of lidocaine from the patch formulation averaged 3%, and was similar after single and repeated doses. Systemic exposure to lidocaine and monoethylglycinexylidide (MEGX), the primary active metabolite of lidocaine, after application of lidocaine gel or patches was minimal in normal volunteers, patients with post-herpetic neuralgia, and patients with acute herpes zoster. Considering the benefit versus risk of topical lidocaine, systemic absorption and toxicity of lidocaine seems not to be a signi ficant risk. © 2002 Wiley-Liss, Inc. and the American Pharmaceutical Association J Pharm Sci 91:1343–1350, 2002
Errata
Journal: BMJ (1909)

THE medical profession of Ireland lost its oldest member in the person of Dr. George Ellis, who died in Dublin on January 27th, having attained his 100th year.He retired from practice no less than forty years ago, being possessed of ample means.Even the older members of the senior group of the profession now living did not know Dr. Ellis, for although he continued to take interest in the progress of medicine, he did not attend the meetings of societies.He was, however, known to some, and was much respected.He does not appear to have held any public appointments.Dr. Ellis was educated in Trinity College, where he took the degrees of A.B. and M.B. in 1834.He became Fellow of the Royal College of Surgeons in 1844.His contribu- tions to the journals were few, but in one he strongly advocated the use of rennet wine, which he prepared by adding sherry to pieces of the stomach of a newly- killed calf, and allowing it to rest in a bottle for three weeks.He gave this wine to those, especially medical men, " who were very liable to suffer from gastric trouble through worry of mind and body and irregular hours for meals and sleep."He was the author of Iri8h Ethnology, Socially and Politically Con8idered.THE death has taken place at Oyne, Aberdeenshire, of Dr. DAVIDSON, who retired from general practice some years ago.He was a graduate of Aberdeen University, and held important appointments, first in Egypt and afterwards in Australia.In consequence of a breakdown in health he retured to Aberdeen, and, after a period of rest, practised in that city.His health again threatened to give way; he retired to Oyne about five years ago Dr. Davidson
Drugs
Authors: Harriet S. Meyer
Journal: JAMA (2003)

From Ripe, by Roy Jacobstein (The Felix Pollak Prize in Poetry, University of Wisconsin Press Poetry Series), 61 pp, $19.95, ISBN 0-299-18250-9, paper, $12.95, ISBN 0-299-18254-1, Madison, University of Wisconsin Press, 2002. Reprinted by permission.
Decision Time
Authors: Alok A. Khorana
Journal: Annals of Internal Medicine (2014)

On Being a Doctor18 March 2014Decision TimeAlok A. Khorana, MDAlok A. Khorana, MDFrom Taussig Cancer Institute, Cleveland Clinic Foundation, Cleveland, Ohio.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M13-1452 Audio Reading - “Decision Time” Audio. Michael A. LaCombe, MD, Annals Associate Editor, reads "Decision Time," by A.A. Khorana. Your browser does not support the audio element. Audio player progress bar Step backward in current audio track Play current audio trackPause current audio track Step forward in current audio track Mute current audio trackUnmute current audio track 00:00/ SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail You walk into the clinic room, your lab coat sleeves rolled up, your stethoscope askew. You're tired, and it's been a long clinic day. You have the imperiousness of someone who just finished a decade of training, and you want this “urgent” new patient add-on who “has connections” to know that you'e being put upon. However, one look at the patient as he hunches over a basin trying not to heave, and you know that this is the real deal.As you sit down across from him, you pause for a second to look at his wife, who is gently ... Author, Article, and Disclosure InformationAffiliations: From Taussig Cancer Institute, Cleveland Clinic Foundation, Cleveland, Ohio.Corresponding Author: Alok A. Khorana, MD, Cleveland Clinic, 9500 Euclid Avenue, R35, Cleveland, OH 44195; e-mail, [email protected]org. PreviousarticleNextarticle Advertisement Audio Reading - “Decision Time” Audio. Michael A. LaCombe, MD, Annals Associate Editor, reads "Decision Time," by A.A. Khorana. Your browser does not support the audio element. Audio player progress bar Step backward in current audio track Play current audio trackPause current audio track Step forward in current audio track Mute current audio trackUnmute current audio track 00:00/ FiguresReferencesRelatedDetails Metrics 18 March 2014Volume 160, Issue 6Page: 436-437KeywordsEmergency departmentLiverPharynxRadiologistsRiversSurgeryUltrasound imagingUrineVentilatorsVomiting ePublished: 18 March 2014 Issue Published: 18 March 2014 Copyright & PermissionsCopyright © 2014 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...
The 'nursing' in nursing homes
Authors: G. C. Manning
Journal: JAMA (1995)

<h3>To the Editor.</h3> —Dr Kane's<sup>1</sup>essay on long-term care states, in the abstract, "Nursing home care... has been neglected by physicians." And so it should be. The proper focus of physicians is on the treatment and prevention of illness. Debilitated elderly people should no more be considered ipso facto ill than should pregnant women, though anyone in either group may contract an illness. Equating age to illness is the medicalization of a social problem, and the cost of care should not come out of the nation's medical budget. Seventy-five years ago, many of the elderly died at home, indicating that people did not consider the demise of the elderly as a problem to be managed by physicians. The nursing care of the elderly is quite properly within the purview of the nursing profession. Nursing, by definition, consists of the physical and psychological care of persons who cannot care for
Diagnostic and therapeutic technology assessment. Home monitoring of uterine activity
Journal: JAMA (1989)

Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2023 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA journal
New Opportunities in Health Broadcasting
Journal: JAMA (2015)

Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2023 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA journal
Bonds
Authors: Martha Hoffer Teater
Journal: JAMA (1984)

People often ask me why I keep on working in a nursing home, taking care of lonely and confused residents. Perhaps it is for the rare privilege of observing simple actions that epitomize caring. On a sunny day, a distinguished-looking man in a business suit visits his mother, once elegant and pretty, now confused and worn. He wheels her into the courtyard, and from my window I watch him giving her a manicure, the sun bright on both of them. I see one of our most confused and demanding residents calmed by her daughter's daily visit and their ritual game of dominoes. A devoted husband becomes an attendant to the bride of his youth, now gray-haired and diapered. She doesn't even remember the name of her life-long companion, yet he continues to visit, tenderly caring for her. Their love is strong, bearing the test of separation and illness. I derive
Cirrhosis: A new, but expected cause of bilary sludge Dept. of Hepato-Gastroenterology, Amiens Hospital, 80054 Amiens, France
Journal: Hepatology (1995)

OBJECTIVES: The aim of the present study was to evaluate the outcome of fetal ovarian cysts in relation to their ultrasonic appearance and size. METHODS: Forty-two fetal ovarian cysts were diagnosed in 41 fetuses and followed with serial ultrasonograms in utero and after birth until spontaneous or surgical resolution. RESULTS: Twelve fetal ovarian cysts that were echogenic at diagnosis and six that were anechoic at diagnosis but became echogenic at subsequent prenatal sonograms were all submitted to postnatal surgery. Of the remaining 24 cysts, all anechoic, four were successfully aspirated in utero, 11 resolved spontaneously after birth, and nine underwent postnatal surgery for complication. The outcome of cysts that were anechoic at diagnosis was significantly correlated with size (P = 0.01). CONCLUSIONS: Echogenic fetal ovarian cysts should be always surgically removed. The outcome of anechoic cysts depends on the size at diagnosis, and serial ultrasonographic assessment is recommended; although not randomized, the present series suggests that in utero aspiration of cysts > 5 cm may prevent complication and subsequent oophorectomy.
International Hygiene Exposition, Dresden, 1911
Authors: None C. A. L. R.
Journal: JAMA (1910)

<h3>To the Editor:—</h3> It now seems probable that the United States will not be officially represented at the International Exposition of Hygiene to be held at Dresden next year. This is a most regretable circumstance as the exposition bids fair in many particulars to be highly important in both a scientific and commercial sense. It will be an important and conspicuous step in a movement that is at once humanitarian, altruistic and utilitarian, one that is world-wide in its extent and to be identified with which the United States cannot afford to miss a single opportunity. The exposition, which is to be opened in May, 1911, under the patronage of the King of Saxony, is to cover an area of about 300,000 square yards located in a large park in the heart of Dresden. The guarantee fund for its promotion was made up some six months ago of $75,000 from
Scorpaenidae Envenomation
Authors: Kenneth W. Kizer
Journal: JAMA (1985)

This article describes 51 cases of Scorpaenidae envenomation, 45 of which were lionfish stings to aquarists or fish handlers. The primary manifestation of envenomation in all victims was intense local pain. Various other local and systemic symptoms were also noted. Immersion in hot water produced either complete (80%) or moderate (14%) symptomatic relief in 94% of the victims. This simple and effective treatment was generally unknown to emergency personnel treating these patients. (<i>JAMA</i>1985;253:807-810)
Pioneers Are Not Obsolete
Authors: J. R. E.
Journal: Annals of Internal Medicine (1962)

Editorials1 June 1962Pioneers Are Not ObsoleteJ. R. E.J. R. E.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-56-6-989 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptSince last autumn, the Editor, for professional and family reasons, has covered quite a bit of the country on wheel and wing. From the towns and cities on the wide prairies of Texas to the villages and hills of New England, from the farmlands of Pennsylvania to the canyons and deserts of the far Southwest the land lies wide and quiet, a rich heritage from our pioneer forefathers. This look at the country in the present era of rapid travel and fast communication, of expanding population and opulent living, leads us to ponder the question: Has the last frontier vanished?...References1. Report of the American Association for Advancement of Science Committee on Science in the Promotion of Human Welfare: Science and Human Survival. Science 134: 2080, 1961. MedlineGoogle Scholar2. Editorial: Physicians for Social Responsibility. New Engl. J. Med. 266: 361, 1962. CrossrefGoogle Scholar3. Symposium: Medical Aspects of Thermonuclear War. New Engl. J. Med. 266: May 31, 1962. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 June 1962Volume 56, Issue 6Page: 989-990 ePublished: 1 December 2008 Issue Published: 1 June 1962 PDF downloadLoading ...
BACTERIA IN THE NOSE AND THROAT
Journal: JAMA (1921)

Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2023 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA journal